QUESTIONNAIRE FOR RESERVOIR APPLICATIONS

 

QUESTIONNAIRE FOR RESERVOIR APPLICATIONS
For CLEAN-FLO
International to properly evaluate your project and do the best job possible in improving
it, we need answers to the following questions.   Please answer them as completely as
possible.  If the information is not immediately available please answer as many as
possible and a CLEAN-FLO representative will evaluate the information and contact you with
further questions.
Project Name
 
Project  Location

Facility Owner/Operator/Manager                                         

Company Name 

Street Address   
City 

 State 

 Zip 
County/Parish 
 Country 
Contact Name 

 Position 
Phone No     

 Fax No  
 email 

Consulting Engineer

Company Name 

Street Address   
City 

 State 

 Zip 
Country
Contact Name 
 Position 
Phone No 
 Fax No  
 email 

Reservoir Information:

How big is the Reservoir? (Acres)

Maximum Depth

Average Depth
What is the flow rate into the reservoir
How much water is pumped out per day  

cubic meters/day
YES NO
Does the water level fluctuate?

If Yes, describe amount and frequency
Describe location of intake pipe. How far is it from bottom?
YES NO
Does incoming water contain pollutants?

Please describe the pollutants
YES NO
Are there taste and Odor problems?

Describe problem
YES NO
Is there blue-green algae in the reservoir?

Describe problem
YES NO
Do aquatic plants clog intake pumps and screens?

Identify species

Please provide the following water
quality data for both surface and bottom of reservoir:

ITEM SURFACE BOTTOM ITEM SURFACE BOTTOM
Dissolved oxygen (mg/l)

pH

B.O.D. (mg/l)

Fecal coliform bacteria

(colonies/100 ml)

C.O.D. (mg/l)

Total hardness (mg/l)

Total Kjeldahl Nitrogen (mg/l)

Total alkalinity (mg/l)

Total phosphorus (mg/l)

Phenolphthalein alkalinity (mg/l)

Ortho phosphorus (mg/l)

Iron (mg/l)

Summer water
temp.° F

Manganese (mg/l)

Winter water
temp. ° F

Pollutants

 

What changes in reservoir water would help you to decrease the
quantity of chemicals used to produce finished water?
Briefly describe your objectives?

Project Status:

Preliminary Engineering/Design
YES NO

Budgetary Purposes
YES NO

Presently under Construction
YES NO

Other Status
Project Timing:

Bid date if applicable
When will aeration equipment be required on site ?

Approximate Budget:

Has funding been
appropriated for this project?
YES NO

If yes, specify.

Electrical Service Available:

Volts
Phase
Hertz
Available power (amperes)

 

Please list any other useful information about the reservoir that
you think would be useful:

Please send us any Questions
or Comments below.


Please forward
all data and reports available. THANK YOU!